Cases reported "Suppuration"

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1/4. An unusual form of actinomycosis of the mandible with a resultant gross sequester in a 4-year-old child: a case report.

    Mandibular osteomyelitis due to actinomyces group is considered rare in the pediatric population. The initial complaint of the 4-year-old child described here was increased swelling of his cheek and pain. The patient was managed successfully by surgical treatment with antibiotic therapy.
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ranking = 1
keywords = mandible
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2/4. Chronic suppurative osteomyelitis of the mandible: case report.

    BACKGROUND: osteomyelitis of the maxillofacial skeleton is rare in developed countries such as australia. This case report describes the successful surgical treatment of chronic suppurative osteomyelitis (CSO) of the mandible in a 75 year old man. The precipitant factor was thought to be a retained tooth root in the (right) posterior body of the mandible. methods: Treatment included a pre-surgical course of antibiotics (clindamycin 300mg, p.o. q.i.d. for two weeks) followed by removal of the retained root, surgical debridement of the affected bone, the intra-oral draining sinus, and resection of the cutaneous sinus tract. Specimens were taken for bacterial cultures and antibiotic sensitivity testing, and the resected tissue sent for histopathological review. RESULTS: On clinical and radiographic review at three months, the patient was well, completely symptom free and the osteomyelitis had fully resolved. CONCLUSION: This case report demonstrates the typical features of CSO. The combination of antibiotic therapy and surgical debridement was effective in the treatment of chronic suppurative osteomyelitis of the mandible utilizing intravenous sedation, and so averting the need for a general anaesthetic.
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ranking = 1.75
keywords = mandible
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3/4. Suppurative osteomyelitis of the mandible in a child.

    The rare case of osteomyelitis of the mandible in a 4-year-old boy is reported. The literature of osteomyelitis in children is reviewed and discussed. osteomyelitis in children is mainly affected in the mandible. In childhood, mandibular structure is so immature that the inflammation of the mandible extends easily and rapidly to a wide area. It is very difficult to perform adequate treatment. The therapy for osteomyelitis in childhood must be carried out after due consideration of the stage and anatomical features.
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ranking = 1.75
keywords = mandible
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4/4. Is diffuse sclerosing osteomyelitis of the mandible part of the synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome? Analysis of seven cases.

    Diffuse sclerosing osteomyelitis of the mandible has been described as a localized disease of unknown origin. We offer evidence that mandibular involvement in the recently described synovitis acne pustulosis hyperostosis osteitis syndrome exactly fits the accepted description for diffuse sclerosing osteomyelitis of the mandible. The clinical, radiologic, and pathologic findings in seven such cases are presented and discussed.
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ranking = 1.5
keywords = mandible
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